Excision of nasal cavity synechiae is a surgical procedure aimed at removing adhesions (synechiae) between the walls of the nasal cavity. These adhesions can cause impaired nasal breathing, recurrent infections, and persistent discomfort, therefore their removal is necessary to restore normal nasal function.
Causes of synechiae formation
- Nasal trauma, including previous surgical interventions (for example, rhinoplasty or septoplasty).
- Chronic inflammatory conditions such as rhinitis or sinusitis.
- Thermal or chemical burns of the nasal mucosa.
- Prolonged nasal packing after surgery or trauma.
- Congenital developmental anomalies.
Symptoms requiring surgical excision of synechiae
- Difficulty in nasal breathing.
- Chronic nasal obstruction.
- Frequent recurrent infections of the nasal cavity or nasopharynx.
- Reduced sense of smell (hyposmia).
- Snoring or sleep-related discomfort.
How the procedure is performed
Diagnostics
- Endoscopic examination to assess the size and location of the synechiae.
- CT scan of the nasal cavity, if detailed anatomical assessment is required.
Preoperative laboratory tests and consultation with an anesthesiologist.
Surgical intervention
- Anesthesia: the procedure is performed under local anesthesia or general anesthesia, depending on the extent of surgery.
- Excision of synechiae: adhesions are removed using microsurgical instruments, endoscopic tools, or laser technology. Particular attention is paid to minimizing trauma to the nasal mucosa.
- Restoration of nasal airway patency: special silicone splints or nasal spacers are placed to prevent re-adhesion.
- Completion of the procedure: sterile dressings are applied.
Postoperative rehabilitation
Early postoperative period:
- Irrigation of the nasal cavity with saline solutions to prevent infection.
- Use of anti-inflammatory and wound-healing topical medications.
Nasal care: regular follow-up visits for monitoring the healing process.
Restrictions: avoidance of physical exertion, bending forward, and overheating.
Removal of splints: usually performed after 7–14 days, depending on the rate of healing.
Advantages of synechiae excision in Belarus
- Complete restoration of nasal breathing.
- Reduction in the frequency of upper respiratory infections.
- Improved overall well-being and quality of life.
- Prevention of further complications.
Possible complications
- Recurrence of synechiae if postoperative recommendations are not followed.
- Minor bleeding (rare).
- Temporary swelling and nasal discomfort.
Excision of nasal cavity synechiae is a safe and effective procedure that restores nasal airflow and relieves persistent discomfort. Modern surgical techniques significantly reduce the risk of complications and promote faster healing.
The procedure is available in leading clinics in Belarus, where specialists apply advanced technologies and an individualized approach to each patient.
